Kellyjo G Angell, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Truxton, NY

NPI

1639415821

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

294888-1 (NY)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-12-17

Last updated

2012-12-17